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Area of Science:

  • Adolescent mental health
  • Implementation science
  • Evidence-based treatments

Background:

  • Many adolescents face mental health challenges but lack access to evidence-based treatments (EBTs).
  • Marginalized communities experience magnified disparities in mental healthcare access.
  • Adapting existing EBTs for scalability in school settings is crucial.

Purpose of the Study:

  • To iteratively adapt and implement the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents in Title 1 high schools.
  • To focus on the feasibility and scalability of the intervention within diverse high school environments.
  • To enhance accessibility of mental health support for adolescents.

Main Methods:

  • Qualitative feedback from high school communities informed initial adaptations.
  • An open-trial pilot case series assessed the feasibility of the adapted program: Unified Protocol for Emotional and Academic Challenges in Education.
  • A randomized controlled trial will compare the adapted program to usual mental health services, using mixed methods and cost-effectiveness analyses.

Main Results:

  • Data collection concluded in May 2025.
  • Primary outcome analyses are anticipated by August 2025.
  • Preliminary feasibility and effectiveness data will inform final adaptations.

Conclusions:

  • The adapted protocol shows promise for guiding youth EBT adaptation in accessible, diverse settings.
  • This intervention could become a valuable prevention program for adolescents with emotional concerns.
  • The study contributes to scalable mental health solutions for youth.